S10-3 The Global Observatory for Physical Activity-GoPA! Policy Inventory: Progress and methods

Abstract Background In 2015, GoPA! was launched to monitor progress on Physical Activity (PA) surveillance, policy and research globally. In 2017, the GoPA! started developing a PA Policy Inventory to enable collecting comparable data on PA policy worldwide. Methods The instrument was developed in three stages. Stage-1: Critical assessment of the Policy Inventory version 1.0 was based on a review of other policy instruments/frameworks including: Health enhancing physical activity policy audit tool; the monitoring framework from the EU Recommendation on Health-Enhancing Physical Activity Across Sectors; and the Comprehensive Analysis of Policy on Physical Activity framework. Feedback from 14 GoPA! Country Contacts was received in 2017. Additional critical assessment was conducted from February to May 2019, and four PA policy experts drafted the Policy Inventory version 2.0. Stage-2: Open discussions about the Policy Inventory draft took place between May and August 2019 with seven policy experts. Based on the discussions, the draft questionnaire was revised three times to produce the GoPA! Policy Inventory version 2.0. Stage-3: Ten GoPA! Country Contacts provided their feedback on the Inventory version 2.0. The expert team from Stage 2 reviewed the suggestions and incorporated most of them into the GoPA! Policy Inventory version 3.0. Results The GoPA! Policy Inventory version 3.0 contains: (i) a consent form; (ii) three questions about the respondent; and (iii) 20 questions about physical activity and sedentary behaviour policy. It is available in two formats: (i) an online survey in Qualtrics software; and (ii) an interactive Word document. The instrument collects the information related to: (i) national PA plans/policies; (iii) PA policy implementation; (iv) national recommendations on PA; (v) health surveillance or monitoring system that includes measures of PA; (vi) ministries or departments in national governments with an active role in PA promotion; (vii) quantifiable national targets related to PA; and (viii) comprehensiveness and effectiveness of the overall national PA policy. Conclusions The instrument will be used to collect policy data for the 2020 GoPA! Country Cards to be launched at ISPAH2020 and, may further be used by PA researchers and policy analysts to monitor, audit, assess, and analyse national PA policies.


Background
Physical inactivity accounts for as many as 5 million deaths per year globally but has yet to be addressed effectively by most governments or the World Health Organization (WHO). Description of the problem Reasonable evidence for effective strategies exist, and several countries have implemented consistent public health policies and programs that have increased population prevalence of regular physical activity. In 2018 WHO launched a Global Action Plan for Physical Activity (GAPPA). However, most countries do not have effective public health policies in place for physical activity. Evaluating the history of national and global policies to understand how some countries have developed sound public health programs for physical activity while most have not requires monitoring and evaluating policy, programmatic, and perhaps even research indicators for physical activity. Only recently have there been systematic efforts to do so.

Results
Several key questions about physical activity policy, starting with an examination of the evolution of public health physical activity policy and policy research from when it was first explicitly identified in the 1990s to the present will be addressed. Key recommendations, global statements, research reviews and action plans will be summarized to provide a clear picture of the evolution of this important aspect of public health. Evidence on the implementation of policy at national and global levels will also be reviewed. We will examine whether it feasible to track physical activity policy at the global and country levels, if the existence of ?good? physical activity policy is associated with less physical inactivity, how policy indicators may be used for advocacy and guidance. Lessons Physical activity policy for public health is a relatively new concept that has evolved significantly in the last three decades with formal national and global policy statements, research, and evaluation efforts all increasing markedly since 1990.

Main Message
Despite notable growth in policy research and the development of sophisticated national and global policies and action plans, implementation of effective national and global policies and Abstract citation ID: ckac093.051 S10-2 Instruments for the analysis of national-level physical activity and sedentary behaviour policies: a systematic review

Background
Researchers and policy makers have developed and used a variety of instruments to assess physical activity policies. Data on the available instruments and their properties have never been summarised in a systematic way. In this review we, therefore, aimed to identify and critically assess available instruments for the analysis of national-level physical activity and sedentary behaviour policies and provide recommendations for their future use. Methods A systematic search of grey and academic literature was conducted in Scopus, SPORTDiscus, PubMed/MEDLINE, Web of Science, Networked Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations, on the websites of three large international organisations for physical activity promotion, and using Google. The Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework was used to assess and classify the instruments, based on their purpose, the policy sectors and scope of analysis they cover, and the policy types and stages of policy cycle they inquire about.

Results
Among a total of 22,071 screened references, we found 26 publications describing 16 instruments that met the inclusion criteria. All the available instruments are intended for analysing some aspects of physical activity policy. Only two instruments include questions about sedentary behaviour policy. None of the instruments can be used to analyse all the relevant policy components. Only a few instruments refer to the agenda-setting and endorsement/legitimisation stages, the effects of policy, and the research and tourism sectors. The termination and succession stages of the policy cycle and unwritten formal statements and informal policies were not addressed by any of the available instruments.

Conclusion
Our findings indicated there is a need to design new instruments or adapt the existing ones to facilitate a more comprehensive analysis of national physical activity and sedentary behaviour policy. It would be extremely timeconsuming to analyse all important components of physical activity and sedentary behaviour policy in a single analysis; hence the development of complementary instruments, where

Background
In 2015, GoPA! was launched to monitor progress on Physical Activity (PA) surveillance, policy and research globally. In 2017, the GoPA! started developing a PA Policy Inventory to enable collecting comparable data on PA policy worldwide.

Methods
The instrument was developed in three stages. Stage-1: Critical assessment of the Policy Inventory version 1.0 was based on a review of other policy instruments/frameworks including: Health enhancing physical activity policy audit tool; the monitoring framework from the EU Recommendation on Health-Enhancing Physical Activity Across Sectors; and the Comprehensive Analysis of Policy on Physical Activity framework. Feedback from 14 GoPA! Country Contacts was received in 2017. Additional critical assessment was conducted from February to May 2019, and four PA policy experts drafted the Policy Inventory version 2.0. Stage-2: Open discussions about the Policy Inventory draft took place between May and August 2019 with seven policy experts. Based on the discussions, the draft questionnaire was revised three times to produce the GoPA! Policy Inventory version 2.0. Stage-3: Ten GoPA! Country Contacts provided their feedback on the Inventory version 2.0. The expert team from Stage 2 reviewed the suggestions and incorporated most of them into the GoPA! Policy Inventory version 3.0.

Results
The GoPA! Policy Inventory version 3.0 contains: (i) a consent form; (ii) three questions about the respondent; and (iii) 20 questions about physical activity and sedentary behaviour policy. It is available in two formats: (i) an online survey in Qualtrics software; and (ii) an interactive Word document. The instrument collects the information related to: (i) national PA plans/policies; (iii) PA policy implementation; (iv) national recommendations on PA; (v) health surveillance or monitoring system that includes measures of PA; (vi) ministries or departments in national governments with an active role in PA promotion; (vii) quantifiable national targets related to PA; and (viii) comprehensiveness and effectiveness of the overall national PA policy.

Conclusions
The instrument will be used to collect policy data for the 2020 GoPA! Country Cards to be launched at ISPAH2020 and, may further be used by PA researchers and policy analysts to monitor, audit, assess, and analyse national PA policies. Keywords: Physical activity, policy, national global Abstract citation ID: ckac093.053 S10-4 The Global Observatory for Physical Activity-GoPA! Policy Inventory: preliminary findings and lessons learned Ž eljko Pedišić 1 1 Institute for Health and Sport, Victoria University, Corresponding author: zeljko.pedisic@vu.edu.au Background Insufficient physical activity (PA) is considered the main risk factors for premature prevalence and associated costs for the health care system present a strong incentive for national governments to develop PA policies. There is a lack of recent and mutually comparable data on national PA policies, particularly for low-to middleincome countries. In 2019, the Global Observatory for Physical Activity (GoPA!) has therefore started collecting data on national PA policies globally using the GoPA! Policy Inventory, version 3.0. Our aim is to present the preliminary findings of this data collection and lessons learned during the process.

Methods
The GoPA! Policy Inventory, version 3.0 was distributed to 149 GoPA! Country Contacts, with an option to provide their responses in an online survey or in an interactive Word document. The GoPA! Policy Inventory, version 3.0 includes 20 questions about availability, content, implementation, comprehensiveness, and effectiveness of national PA policies.

Results
Data were collected for 24 high-income, 13 upper-middleincome, nine lower-middle-income, and three low-income countries (overall n = 49) from all six WHO regions. A large majority of countries (76%) reported having a national PA policy or plan. Fifty-seven per cent of countries reported having PA recommendations. However, less than a half of the countries (45%) had PA recommendations for each of the following key target groups: children and young people, adults, and older adults. National health surveillance/monitoring system, which includes measures of PA, was available in 78% of countries. Most Country Contacts indicated that the ministries of health, sport, and education had active roles in PA promotion. Quantifiable national targets for PA were established in 43% of countries. The median score for the implementation of policies was 6, for comprehensiveness five, and effectiveness four and a half (out of a maximum score of 10).

Conclusion
Further efforts are needed in the development and implementation of comprehensive national PA policies. More countries should establish quantifiable national targets for PA and track Symposium Abstract citation ID: ckac093.054 S11 Improving knowledge co-creation and participation in physical activity promotion: The cooperative planning approach A central problem of current efforts to promote health and physical activity (PA) is that many successful projects remain stuck in the demonstration phase and are not implemented successfully at scale. The use of participatory and/or cocreation approaches has been suggested to avoid this ?pilot project trap? and better adapt interventions to target group needs and setting specificities. This symposium intends to introduce to an international audience a particular participatory concept that has become increasingly popular in PA promotion in Germany in recent years: The Cooperative Planning approach has been successfully used in sport facility planning, local and regional PA policy development, and various settings of PA promotion (incl. kindergartens, schools, vocational training, and communities). The workshop will shed light on the theoretical background and methodology of Cooperative Planning as well as its specific application in select settings. The first presentation will introduce the concept of Cooperative Planning, outline potential areas of application, and compare it with other popular participatory and cocreation approaches in PA promotion. Following this, we will provide evidence from ongoing projects employing the approach to promote PA in kindergartens (Presentation 2) and in the community setting (Presentation 3). Presentation 4 will introduce an example from the retirement home setting and also highlight ways of combining Cooperative Planning with other approaches such as photovoice and participatory evaluation. The final presentation will provide an outlook on the future extension of the concept by introducing the idea of the Practice Dive, which may be used to further optimize knowledge co-creation between researchers and practitioners.